ipl-logo

Pharmacy Case Study

2980 Words12 Pages

Olufidipe Oyetola GEN/CC: MM is an 80-year-old white male who presents to MCPHS pharmacy with a new prescription for Breo Ellipta 100/25 one inhalation PO twice daily. HPI: MM states ‘My COPD is getting worse and my old medicine doesn’t work anymore’. He has had 4 COPD exacerbations in the past 6 months. He has just received a new prescription from his doctor for Breo Ellipta 100/25 one inhalation PO twice daily. PMH: Glaucoma, BPH, HTN, Hyperlipidemia, OA, Insomnia, chronic COPD. PSH: Right knee replacement in 1999, Transurethral resection of the prostate (TURP) in 2012 MED: Ventolin 90mcg MDI 2 inhalations PO QID PRN for wheezing Rosuvastatin 60mg PO daily Lisinopril 10mg PO daily Furosemide 20mg PO daily Ibuprofen 200mg PO QID …show more content…

• Continue to monitor your progress by checking your breathing ability against your personal best, you what to be at 80% of your personal best. • You really need to stop smoking, I can refer you to a support group if you want to stop. 5. Smoking cessation Subjective: MM has smoked 2 to 3 cigars every day for the past 50 years Objective: cigar pack years are 20 to 30 pack-years. Assessment: He knows he should stop smoking but he has tried and doesn’t really want to stop. Pharmacological therapy and psychological intervention is required to help him quit Plan : Clinical recommendation • Start the use of nicotine patch 14mg/24hrs for 6 weeks, then 7mg/24hrs for 2 weeks • Refer patient to smoking cessation support program Patient recommendation • You really have to stop smoking, that is the only way your COPD can get better and I have the training to help you now if you are ready • I can refer you to a smoking cessation support group as well • I will see you in about 30 days when you come to refill your

Show More
Related

  • Norma Blok Case

    596 Words  | 3 Pages

    She should complete this course but her lung exam is much improved. Persistent atrial fibrillation: She was in sinus rhythm today but has been known to be in atrial fibrillation most of the time. She is on digoxin for rate control and her amiodarone has been discontinued.

    Read More

  • Impaired Gas Exchange Case Study

    1218 Words  | 5 Pages

    While auscultating sounds of lung fields no wheezing was found, and VS were within normal range for patient as determined through comparison of chartings on 10/23/2015 thru the morning and lunch VS of 10/26/ 2015 before impaired gas exchange was detected. 10/26/2015 2. Administer O2 @ 2L N/C

    Read More

  • Cmn 556 Unit 3 Journal Essay

    611 Words  | 3 Pages

    I think I will get into the habit of presenting both medications to my patient, and letting them decide what sounds like a good fit for

    Read More

  • Baby Boomers In Today's Society

    1193 Words  | 5 Pages

    Baby boomers are the demographic cohort, known as the generation that makes up the substantial portion of the world’s population. Individuals born during the time of 1946 to 1964 has lived in environments where smoking lead to a detrimental impact in their later years. As the third leading cause of death, chronic obstructive pulmonary disease (COPD) is common among the older population. This disease is the leading cause of both morbidity and mortality. Leading to a consensus that older adults (particularly baby boomers) are at a great risk of COPD because they grew up in an era where smoking was fashionable, cigarettes were provided during the wars, and exposure to secondhand smoke was tremendous.

    Read More

  • Copd Exacerbation Case Study

    719 Words  | 3 Pages

    1.What are the common symptoms associated with an exacerbation of COPD? According to the Mayo Clinic (2017), symptoms occur when a vast amount of damage has occurred to the lungs and progressively worsens, especially if the patient continues to smoke. Change in sputum color, increased sputum amount, coughing more than usual, increased fatigue, breathlessness, increased difficulty completing ADLs, fever, confusion, increased sleepiness, and decreased pulse ox levels are symptoms that are typically associated with a COPD exacerbation (Lareau, Moseson & Slatore, 2014). 2.What assessment techniques will you use to assess Mary?

    Read More

  • Unit 5 Health And Social Care Level 3 Unit 3

    90 Words  | 1 Pages

    I will be assigned to a new patient next week, and I will make sure that I will know everything about all the medications the patient takes. That will be done in order to know what I am going to be administering and how dangerous it will be if any of them are administered incorrectly. I will make sure all preventable complications will not occur. In order to do that, I need to know the function of the medication and what they are really for based on the patient’s diagnoses.

    Read More

  • The Pros And Cons Of Dioxins

    1043 Words  | 5 Pages

    Dioxins are primarily by-products or residues from thermal industrial processes (combustion) that involve chlorine, but they can also occur during natural phenomena such as volcanic eruptions or forest fires. They are undesirable byproducts in a large number of manufacturing processes, such as melting, chlorine bleaching of pulp, and the production of certain herbicides and pesticides. In terms of emissions, it is considered that most of the dioxin released into the environment comes from uncontrolled waste incinerators (solid waste and hospital waste), which are the biggest culprits, with incomplete combustion. There are also large stocks of used industrial oils throughout the world whose longterm preservation and elimination of these materials

    Read More

  • Quitting COPD

    449 Words  | 2 Pages

    Quitting Smoking Smoking will worsen the symptoms of COPD. When you are diagnosed with COPD, you should stop smoking immediately. Quitting can be a difficult task, but it is the best way to make sure the disease does not progress to the later stages of COPD. If you are having difficulty quitting, you should ask your doctor to recommend nicotine substitute products.

    Read More

  • Public Service Announcement Of Smoking

    377 Words  | 2 Pages

    It’s very common for those addicted to allow cigarettes to take over their life. Constantly having to stop their lives and take a smoke break. It’s a very difficult habit to quit. I believe that we can take a stand and leave this habit in the past though, and free ourselves from the addiction. Most people know what smoking can do to their bodies before they start smoking, yet ignore the risks.

    Read More

  • Examples Of Nursing Scope Of Practice

    338 Words  | 2 Pages

    If either of these medications are unsuccessful the patient needs to be transferred to a higher level of care. There

    Read More

  • Tobacco Vs Marijuana Research Paper

    490 Words  | 2 Pages

    It is so hard for a user to quit using tobacco because they’ve developed an addiction to the substance. A user will experience withdrawal symptoms if they try to quit which may include irritability, cravings and increased appetite. This may discourage them from quitting; however quitting has immediate benefits such as an increased life expectancy,

    Read More

  • 'Grit' By Angela Lee Duckworth: An Analysis

    1749 Words  | 7 Pages

    So, the next time you think about quitting, just remember Edison and Wiesel, and how they overcame their situations and how their

    Read More

  • Medication Adherence Reflection

    876 Words  | 4 Pages

    For this assignment I was required to take warfarin 2 mg tabs by mouth on Monday, Wednesday, and Fridays, and on all other days two tablets at 4 PM. The other drug I needed to take was metoprolol tartrate 25 mg tablets twice daily with food. During this assignment

    Read More

  • Smoking Informative Speech

    882 Words  | 4 Pages

    Smoking has been a long time habit round the world. However, in the past, smoking cigarette was very popular and known to be a cool recreational drug, and was widely accepted by the community across the world. Today smoking has been less widely accepted and more restricted because of the many health risks that are linked to smoking cigarette. These days, people are well educated and more knowledgeable about the health risks of smoking.

    Read More

  • Argumentative Essay On Second Hand Smoking

    894 Words  | 4 Pages

    This is why quitting is very important for the smoker and the family or friend they have. My dad has tried to quit but till this day he continues to smoke but it’s been a struggle. He tried the patches, the gum and vaping but he still turns to cigarrettes. He wanted to stop but as I thinking more on it he didn’t have support which is the most needed to help an addict because most of them don’t like to

    Read More

More about Pharmacy Case Study

Open Document